Optimal referral of patients who are at risk of kidney failure to nephrologists could improve their long-term outcomes. Various strategies, including the inclusion of kidney failure risk equations in electronic medical records and the active dissemination of clinical practice guidelines, could help to reduce the gap between optimal referral and what currently happens in clinical practice.
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References
Tangri, N. et al. A predictive model for progression of chronic kidney disease to kidney failure. J. Am. Med. Assoc. 305, 1553–1559 (2011).
Tangri, N. et al. Multinational assessment of accuracy of equations for predicting risk of kidney failure: a meta-analysis. J. Am. Med. Assoc. 315, 164–174 (2016).
Wang, M., Peter, S. S., Chu, C. D., Tuot, D. S. & Chen, J. H. Analysis of specialty nephrology care among patients with chronic kidney disease and high risk of disease progression. JAMA Netw. Open 5, e2225797 (2022).
Torreggiani, M. et al. Unmet needs for CKD care: from the general population to the CKD clinics-how many patients are we missing? Clin. Kidney J. 14, 2246–2254 (2021).
Oliva-Damaso, N., Delanaye, P., Oliva-Damaso, E., Payan, J. & Glassock, R. J. Risk-based versus GFR threshold criteria for nephrology referral in chronic kidney disease. Clin. Kidney J. 15, 1996–2005 (2022).
Yuen, J. et al. Risk of CKD progression and quality-of-care indicators in the primary care setting. Am. J. Kidney Dis. 81, 247–249 (2023).
Tangri, N. & Major, R. W. Risk-based triage for nephrology referrals: the time is now. Kidney Int. Rep. 6, 2028–2030 (2021).
Shin, J.-I. et al. Albuminuria testing in hypertension and diabetes: an individual-participant data meta-analysis in a global consortium. Hypertension 78, 1042–1052 (2021).
Sparkes, D. et al. Patient perspectives on integrating risk prediction into kidney care: opinion piece. Can. J. Kidney Health Dis. 9, https://doi.org/10.1177/20543581221084522 (2022).
Delanaye, P. et al. CKD: A call for an age-adapted definition. J. Am. Soc. Nephrol. 30, 1785–1805 (2019).
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Oliva-Damaso, N., Tangri, N., Delanaye, P. et al. Bridging the gap of referral to nephrology care. Nat Rev Nephrol 19, 275–276 (2023). https://doi.org/10.1038/s41581-023-00693-1
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DOI: https://doi.org/10.1038/s41581-023-00693-1